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CCDF FY 2000 Funding

Index: "Dear Colleague" Letter | ACYF-PI-CC-99-04 | ACF RAs | Tribal Estimates | Child Count Declaration | Assurances and Certifications | Statutory and Regulatory Requirements | (Collection also available in Word and PDF)
Related Items: FY 2000 Procedures for CCDF Grantees
 

Attachment C: Child Count Declaration


 

CHILD COUNT DECLARATION

Name of  Tribal Lead Agency
 
 

This certifies that the number of Indian children under age 13 (as defined in Appendix 2, #2) who reside on or near the reservation or service area (as defined in Appendix 2, #3) is:________________ (number).

This count shows the number of Indian children under age 13 as of ______________ (date).

 

___________________________________________________________

Signature of Individual Authorized to Act for Tribal Lead Agency

Index: "Dear Colleague" Letter | ACYF-PI-CC-99-04 | ACF RAs | Tribal Estimates | Child Count Declaration | Assurances and Certifications | Statutory and Regulatory Requirements | (Collection also available in Word and PDF)
Related Items: FY 2000 Procedures for CCDF Grantees